×
Home
Archive Submission Guidelines
News Contact
Original article
Crossmark

Operative treatment of femoral neck fractures with cannulated screws with and without platelet rich plasma in young adults: A comparative study

By
Mohammed Al-Edanni ,
Mohammed Al-Edanni
Yaseen Al ,
Yaseen Al
Ghadeer Majeed ,
Ghadeer Majeed
Sadik Al-Muktar
Sadik Al-Muktar

Abstract

Many studies have evaluated the effect of platelet rich plasma (PRP) in the treatment of non-union fractures but few studies have investigated their effect on the union of femoral neck fractures or their functional outcome in young adults. The aim of this study was to evaluate the union time and functional outcome in young adult patients with femoral neck fracture managed by three cannulated screws injected with PRP and those managed by fixation only. This prospective study included 24 patients diagnosed with femoral neck fractures within 24 hours of presentation. Twelve cases in group A were managed by closed reduction and three cannulated screws fixation injected with PRP; twelve patients in group B were managed only by closed reduction and three cannulated screws fixation. Results revealed a significant difference between the two groups (p = 0.004) with regard to mean union time, (group A - 3.9 months, group B - 4.8 months). No statistically significant differences were found in functional outcomes between groups, as measured by the Harris Hip Score and Visual Analogue Scale.

References

1.
Parker MJ, Khan RJK, Crawford J, Pryor GA. Hemiarthroplasty versus internal fixation for displaced intracapsular hip fractures in the elderly. The Journal of Bone and Joint Surgery British volume. 2002;84-B(8):1150–5.
2.
Laursen JO. Treatment of intracapsular fractures of the femoral neck in Denmark: Trends in indications over the past decade. Acta Orthop Belg. 1999;65(4):478–84.
3.
Iorio R, Schwartz B, Macaulay W, Teeney SM, Healy WL, York S. Surgical Treatment of Displaced Femoral Neck Fractures in the Elderly. The Journal of Arthroplasty. 2006;21(8):1124–33.
4.
Crossman PT, Khan RJK, MacDowell A, Gardner AC, Reddy NS, Keene GS. A survey of the treatment of displaced intracapsular femoral neck fractures in the UK. Injury. 2002;33(5):383–6.
5.
Bhandari M, Devereaux PJ, Tornetta P, Swiontkowski MF, Berry DJ, Haidukewych G, et al. Operative Management of Displaced Femoral Neck Fractures in Elderly Patients. The Journal of Bone & Joint Surgery. 2005;87(9):2122–30.

Citation

Article metrics

Google scholar: See link

The statements, opinions and data contained in the journal are solely those of the individual authors and contributors and not of the publisher and the editor(s). We stay neutral with regard to jurisdictional claims in published maps and institutional affiliations.